
| Name | Value |
|---|---|
| NAME | HERBAL EAR RELIEF SOLN,OTIC |
| VA GENERIC NAME | HERBAL EAR RELIEF |
| DOSAGE FORM | SOLN,OTIC |
| NATIONAL FORMULARY NAME | HERBAL EAR RELIEF SOLN,OTIC |
| CREATE DEFAULT POSSIBLE DOSAGE | YES |
| CODING SYSTEM |
|
| COPAY TIER |
|
| PGX ELIGIBLE | NO |
| PGX SUPPRESSED | NO |
| VA PRINT NAME | HERBAL EAR RELIEF OTIC SOLN |
| VA PRODUCT IDENTIFIER | H0624 |
| TRANSMIT TO CMOP | NO |
| VA DISPENSE UNIT | ML |
| MASTER ENTRY FOR VUID | YES |
| VUID | 4031643 |
| EFFECTIVE DATE/TIME |
|